Individual
GINA ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
150 W 7TH ST, SAN PEDRO, CA 90731-3320
(310) 519-6100
Mailing address
150 W 7TH ST, SAN PEDRO, CA 90731-3320
(310) 519-6100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
697888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697888
REGISTERED NURSE
CA
Enumeration date
06/09/2015
Last updated
04/05/2018
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